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Hypoxia is a critical factor for restricting photodynamic therapy (PDT) of tumor, and it becomes increasingly severe with increasing tissue depth. Thus, the relief of deep tumor hypoxia is extremely important to improve the PDT efficacy. Herein, tumor microenvironment (TME)‐responsive size‐switchable hyaluronic acid‐hybridized Ru nanoaggregates (HA@Ru NAs) were developed via screening reaction temperature to alleviate deep tumor hypoxia for improving the tumor‐specific PDT by the artful integration multiple bioactivated chemical reactions in situ and receptor‐mediated targeting (RMT). In this nanosystem, Ru NPs not only enabled HA@Ru NAs to have near infrared (NIR)‐mediated photothermal/photodynamic functions, but also could catalyze endogenous H2O2 to produce O2in situ. More importantly, hyaluronidase (HAase) overexpressed in the TME could trigger disassembly of HA@Ru NAs via the hydrolysis of HA, offering the smart size switch capability from 60 to 15 nm for enhancing tumor penetration. Moreover, the RMT characteristics of HA ensured that HA@Ru NAs could specially enter CD44‐overexpressed tumor cells, enhancing tumor‐specific precision of phototherapy. Taken together these distinguishing characteristics, smart HA@Ru NAs successfully realized the relief of deep tumor hypoxia to improve the tumor‐specific PDT. [ABSTRACT FROM AUTHOR]

Carbon nanomaterials have received great attention from the scientific community over the past few decades because of their unique physical and chemical properties. In this minireview, we will summarize the recent progress of the use of various carbon nanomaterials in the field of cancer phototherapy. The structural characteristics of each category and the surface functionalization strategies of these nanomaterials will be briefly introduced before focusing on their therapeutic applications. Recent advances on their use in photothermal therapy, photodynamic therapy, and combined phototherapies are presented. Moreover, a few challenges and perspectives on the development of carbon nanomaterials for future theranostics are also discussed. The many dimensions of carbon nanomaterials: The recent progress of carbon nanomaterials in the field of cancer phototherapy is reviewed. A few challenges, perspectives on the development of carbon nanomaterials for future phototheranostics are also discussed. [ABSTRACT FROM AUTHOR]

Abstract: Indocyanine green (ICG) is an effective light absorber for laser‐mediated photodynamic therapy. However, applications of ICG are limited due to its rapid degradation and poor photostability in water. Herein, we report the development of a multifunctional nanoplatform by coating ICG on the surface of single‐walled carbon nanohorns (SWNHs) through π–π stacking, obtaining SWNH‐ICGs with high solubility and stability under physiological conditions. The SWNH‐ICGs could be used as a single nanoplatform to simultaneously produce satisfactory hyperthermia and reactive oxygen species under near‐infrared (NIR) laser irradiation. In addition, the SWNH‐ICGs not only improved the photostability of ICG in different media, but also protected it from light degradation. The SWNH‐ICGs exhibited highly efficient thermal/photoacoustic (PA) imaging‐guided photothermal therapy (PTT) and photodynamic therapy (PDT) effects, even under low‐power laser irradiation (0.3 W cm−2) in vitro. Combined PTT and PDT effectively killed triple‐negative breast cancer 4T1 cells, demonstrating a markedly improved and synergistic therapeutic effect compared to PTT or PDT alone. Furthermore, significant tumor growth inhibition as well as tumor cell death were observed following PTT/PDT at 808 nm laser irradiation, confirming the synergistic effects of SWNH‐ICGs over free ICG in vivo. This facile and simple methodology for thermal/PA imaging‐guided PTT/PDT suggests that SWNH‐ICGs may serve as an effective nanoplatform for cancer therapy. [ABSTRACT FROM AUTHOR]

The structural characteristics of various carbon nanomaterials, their surface functionalization strategies, and recent advances in the field of cancer phototherapy are summarized in the Minireview by X.‐C. Shen et al. on page 3993 ff. Their excellent NIR absorption, large surface area, and appropriate size make carbon nanomaterials attractive and promising nanoplatforms for phototherapeutic applications. Despite many significant advances in this field have been made, several challenges remain to be addressed to promote their practical clinical applications. [ABSTRACT FROM AUTHOR]

Treatment in combination with real-time monitoring of dynamic organelle changes is of great significance for evaluating therapeutic efficacy. However, it remains highly challenging to realize such specific treatment and monitoring in organelles. Herein, we developed one kind of red emissive two-photon carbon dots (TP-CDs) via an N doping strategy for nucleolus-targeted treatment combined with real-time monitoring of dynamic changes in the nucleolus. In the TP-CD system, N doping endows TP-CDs with intrinsic two-photon excitation, red emission at 605 nm, and singlet oxygen (1O 2) production under 638 nm laser irradiation. More importantly, N heterocycles induced by doping offers significant affinity for TP-CDs toward RNA to realize specific self-targeting toward nucleolus and fluorescence variation during the photodynamic therapy (PDT) via the cleaving of RNA chain by 1O 2 to dissociate TP-CDs@RNA complex. By combining 1O 2 production, fluorescent variation during the PDT process, long-wavelength excitation and emission characteristics, as well as specific self-targetability of nucleolus, TP-CDs can be considered as a kind of "smart" CDs to realize treatment in combination of real-time dynamic changes in nucleolus for the first time. [Display omitted] [ABSTRACT FROM AUTHOR]

It is of extreme importance to engineer the structural characteristics of carbon dots (CDs) to satisfy their practical applications in imaging and medical treatments. Here, Cu,N-doped CDs ( Cu,N -CDs) are a new class of near-infrared-(NIR) light-induced therapeutic agents that were prepared by a one-step hydrothermal method using EDTA·2Na and CuCl 2 . Specifically, Cu ΙΙ was located in the inner of Cu,N -CDs via N-Cu-N complexation, endowing NIR absorption for the production of heat and reactive oxygen species. The relationships between the hydrothermal temperature, NIR absorption, and intrinsic biological activity of the Cu,N -CDs were examined. The hydrothermal temperature significantly affected the latter two when the Cu content in the Cu,N -CDs was changed. The Cu,N -CDs at 180 °C were examined for cancer phototherapeutics in vitro and in vivo . The Cu,N -CDs markedly inhibited cancer via synergistic photothermal/photodynamic therapies. In addition, the Cu,N -CDs could also act as one kind of fluorescence cell-imaging agent and IR thermal imaging agent to visualize the in vitro and in vivo treatment process, respectively. Thus, the present study provides a promising new method to prepare CDs with NIR absorption feature for multifunctional cancer theranostic applications. [ABSTRACT FROM AUTHOR]